Individual
DR. ABBAS ALI ETEMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
648 N TUSTIN ST, SUITE H, ORANGE, CA 92867-7134
(714) 771-0190
(714) 771-0715
Mailing address
648 N TUSTIN AVE, SUITE H, ORANGE, CA 92867
(714) 771-0190
(714) 771-0715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31252
CA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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